These tools will no longer be maintained as of December 31, 2024. Archived website can be found here. PubMed4Hh GitHub repository can be found here. Contact NLM Customer Service if you have questions.


Pubmed for Handhelds

PUBMED FOR HANDHELDS

Search MEDLINE/PubMed

  • Title: [Modified total cavopulmonary connection for treating patients with functional single ventricle].
    Author: Mei J, Wang Z, Zhang B, Hao J.
    Journal: Zhonghua Wai Ke Za Zhi; 2000 Jan; 38(1):58-60. PubMed ID: 11831990.
    Abstract:
    OBJECTIVE: To modify the classic procedure for better surgical results of total cavopulmonary connection (TCPC). METHODS: Modified TCPC was performed in 13 patients with functional single ventricle. In the modified TCPC procedure, the distal end of the superior vena cava (SVC) was connected with the upper edge of the right pulmonary artery (RPA) with the anastomosis orifice near the left side, and the proximal end with the lower edge of RPA with the anastomosis orifice near the right side. Among them, intra-atrial tunnel was established with a partial tube of PTFE using the lateral tunnel technique in 8 patients, and the distal end of the inferior vena cava (IVC) was directly connected with the lower edge of RPA using extracardiac conduit in the beating heart in 5. RESULTS: One patient (7.7%) died early. Twelve patients survived and had the SatO(2) (94.6 +/- 1.2)% postoperatively while inspiring air. Angiography showed that most blood from IVC enters the right lung and most blood from SVC the left lung. No late mortality was seen during the follow up for 6 months to 2 years and 2 months. NYHA class I was noted in 10 patients and class II in 2. Echocardiography showed that left ventricular volume reduced significantly and ventricular function was normal. CONCLUSIONS: Modified TCPC produces optimal blood flow between the two lungs, elevates postoperative Sat O(2) effectively, decreases ventricular volume load and improves ventricular functions.
    [Abstract] [Full Text] [Related] [New Search]